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Search › Illinois › 101YM0800X

Terry Glenn

NPI 1699316877 · on the registry since 2019

Practice

Address
2148 Vadalabene Dr
Maryville, IL 62062
Phone
(618) 288-3100
Fax
(618) 288-3371
Organisation at this address
Genoa Healthcare Llc
Chestnut Health Systems
Chestnut Health Systems Inc.
Chestnut Health Systems Inc.
Chestnut Health Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois